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Individual

JAN H NYBOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9350 INDEPENDENCE DR, ANCHORAGE, AK 99507
(907) 561-1167
(907) 561-7051
Mailing address
9350 INDEPENDENCE DR, ANCHORAGE, AK 99507
(907) 561-1167
(907) 561-7051

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD1135
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811005606
NPI
AK
05
MD1135
AK
Enumeration date
08/29/2006
Last updated
08/02/2007
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